Starting as fatty streaks on the walls of blood vessels, they slowly grow in size to become hardened plaques; this makes the arteries narrower, reducing blood flow.

As the vessels become clogged, certain regions of the body receive less of the oxygen-rich blood that keeps them healthy.

As atherosclerosis slowly develops, there are few symptoms. But, over the years, problems can begin to surface.

Depending on the site of the affected arteries, atherosclerosis could lead to a plethora of problems, such as coronary artery disease, which is a reduction of blood flow to the heart’s muscles, and stroke, which is characterized by reduced blood flow in part of the brain.

Because some of these factors are increasing in prevalence, there is a push to find innovative ways to tackle atherosclerosis and stop it in its tracks.

Enter green tea

The list of purported health benefits of green tea is virtually unending. From cancer-fighting powers to weight loss wonders, green tea has been deemed the elixir of life. However, the research doesn’t back up many of these claims.

When speaking with the British National Health Service (NHS) about the health benefits of green tea, Alison Hornby — of the British Dietetic Association in Birmingham, in the United Kingdom — puts it succinctly, saying, “[T]he evidence for the majority of these conditions is weak or lacking.”

However, because green tea contains so many compounds, scientists are still dissecting the drink’s components to tease out any potentially bioactive molecules.

One such chemical is epigallocatechin-3-gallate (EGCG). It is found in green, black, and white tea, but it is most abundant in the dried leaves of green tea.

Scientists have demonstrated that this compound binds to apolipoprotein A-1 (apoA-1), a protein that behaves similarly to the amyloid plaques found in the brains of people with Alzheimer’s disease. Due to this, studies have explored the potential use of EGCG against Alzheimer’s.

More recently, a team of researchers from Lancaster University and the University of Leeds, both in the U.K., wondered whether EGCG might also be able to help against atherosclerosis.

In atherosclerosis, apoA-1 sticks to plaques, making them larger and restricting blood flow further. If it could be dissolved, it might ease the condition.

As hoped, they found that EGCG breaks down apoA-1 when in the presence of heparin, a naturally occurring anticoagulant. The combination of molecules converted apoA-1 into smaller and more soluble molecules that are less likely to restrict blood flow.

More work needed

It is important to note that, to get adequate levels of EGCG into the bloodstream, one would have to drink an enormous and probably dangerous amount of green tea.

The researchers are keen to study EGCG further; they hope to find a way to increase its levels in circulation.

Prof. Jeremy Pearson, the associate medical director at the British Heart Foundation, explains, “Our bodies are very good at breaking down EGCG, so swapping your cuppa for green tea is unlikely to make a big difference with respect to your heart health.”

“But,” he adds, “by engineering the molecule slightly, we might be able to make new medicines to treat heart attack and stroke.”

“The findings of this round of studies are very encouraging. We now need to apply the best scientific techniques to find how we can take the molecular EGCG element from green tea, and turn it into a functioning tool to combat life-limiting health issues.”

Co-author Prof. Sheena Radford

These are early days in green tea’s battle against atherosclerosis, but the researchers are excited about the future possibilities of EGCG.